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Montana rates for HCPCS 34848

Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including four or more visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,479.17 / $2,479.17 / $2,479.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,737.39 / $3,737.39 / $3,737.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,737.39 / $3,737.39 / $3,737.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,737.39 / $3,737.39 / $3,737.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,474.23 / $2,885.92 / $4,407.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,421.98 / $2,794.60 / $4,879.93